Provider Demographics
NPI:1588495733
Name:AUGUSTE, PERPETUA MYRIAM (RN)
Entity type:Individual
Prefix:MS
First Name:PERPETUA
Middle Name:MYRIAM
Last Name:AUGUSTE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5422 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-2519
Mailing Address - Country:US
Mailing Address - Phone:347-739-2951
Mailing Address - Fax:
Practice Address - Street 1:5422 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-2519
Practice Address - Country:US
Practice Address - Phone:347-739-2951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN750547163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse